{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:45:57Z","timestamp":1747190757969,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,6,24]],"date-time":"2022-06-24T00:00:00Z","timestamp":1656028800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Obstetrics and Gynecology International"],"published-print":{"date-parts":[[2022,6,24]]},"abstract":"<jats:p>Introduction. Placenta accreta spectrum is an obstetrical complication with a high level of morbidity. The 3-dimensional (3D) power Doppler method has been widely used to improve the diagnosis. Therefore, this study aims to elucidate better the relationship of quantitative placental vascular indices towards macroscopic findings, histopathological grading, and intraoperative blood loss in the disorder. Methods. A preliminary study using a cross-sectional design was conducted on 34 clinically diagnosed women with PAS. The 3D power Doppler with the VOCAL II software was used to measure the level of vascularization index (VI), flow index (FI), and vascularization flow index (VFI). Gross anatomical appearance and histopathology results were categorized as accreta, increta, and percreta. In addition, the intraoperative blood loss level was measured, and 1500\u2009mL was the cutoff for massive hemorrhage. Results. The vascularity indexes were VI\u2009=\u200944.2 (23.7\u201374.9), FI\u2009=\u200935.4 (24.9\u201357), and VFI\u2009=\u200915.3 (8.5\u201341.7). The FI value was significant in comparing gross pathological stages (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>p<\/a:mi>\n                        <a:mo>=<\/a:mo>\n                        <a:mn>0.015<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>) and had a moderate positive correlation in relation to blood loss (r\u2009=\u20090.449). VI, FI, and VFI above the cutoff values were shown to be strongly associated with blood loss <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mo>\u2265<\/c:mo>\n                     <\/c:math>\n                  <\/jats:inline-formula> 1500\u2009cc with aOR 7.00 (95% CI 1.23\u201339.56), aOR 10.00 (95% CI 1.58\u201363.09), and aOR 9.16 (95% CI 1.53\u201354.59), respectively. Conclusion. This preliminary study demonstrated an initial potential of the FI value from 3D USG power Doppler to predict the depth of PAS invasion before surgery and intraoperative blood loss level.<\/jats:p>","DOI":"10.1155\/2022\/2830066","type":"journal-article","created":{"date-parts":[[2022,6,25]],"date-time":"2022-06-25T02:05:14Z","timestamp":1656122714000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["Relationship of Placental Vascular Indices with Macroscopic, Histopathologic, and Intraoperative Blood Loss in Placenta Accreta Spectrum Disorders"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2972-3387","authenticated-orcid":true,"given":"Mohammad Adya","family":"Firmansha Dilmy","sequence":"first","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuditiya","family":"Purwosunu","sequence":"additional","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yudianto Budi","family":"Saroyo","sequence":"additional","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tantri","family":"Hellyanti","sequence":"additional","affiliation":[{"name":"Department of Anatomical Pathology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noroyono","family":"Wibowo","sequence":"additional","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damar","family":"Prasmusinto","sequence":"additional","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rima","family":"Irwinda","sequence":"additional","affiliation":[{"name":"Maternal Fetal Division, Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9493-5629","authenticated-orcid":true,"given":"Victor Prana","family":"Andika Santawi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hizkia Mangaraja","family":"Hasiholan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8740-3918","authenticated-orcid":true,"given":"Rabbania","family":"Hiksas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine Universitas Indonesia\/Cipto-Mangunkusumo Hospital, Java, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14775"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.09.042"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20173666"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13374"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11010023"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.09.001"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.04.005"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1002\/jum.15530"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.11.156"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.05.067"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.placenta.2008.11.010"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-4006-5"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12761"},{"issue":"7","key":"14","first-page":"442","article-title":"Postpartum hemorrhage: prevention and treatment","volume":"95","author":"A. 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